Hi everyone, we are looking for someone to help us setup our billing system.

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From: Anna Sanderson <asanderson@interimhcmn.com>
Sent: Wednesday, January 29, 2025 4:33:28 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: Re: [EXTERNAL] RE: *External Email Message*Blue Plus MSHO
 
Yes, we are having the same issues still from the MSHO transition. We did hear back last week from our blue rep that they consider the issue resolved as of 1/15/25. We pushed back with a full spreadsheet of all our impacted claims. We are seeing delayed payments, value code denials and also not following PDGM rates on payment. Has anyone had any luck resolving this issue or is everyone still seeing a backlog of unpaid claims? We are considering other options to pursue if they come back upheld with the issue resolved.  



Anna Sanderson
Billing Specialist
Interim HealthCare of the Twin Cities
Main Office Number: 651-917-3634
Direct: +16512947979 |     
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Sarah Nicholls <sarah.nicholls@adarahomehealth.com>
Sent: Wednesday, January 29, 2025 2:25 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: *External Email Message*Blue Plus MSHO
 
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I continue to get multiple claims denied for that same reason and there is a BCBS Rep working with me to figure out why those denials are happening. If I get an answer from them I will definitely let you know!

 

Sarah Nicholls

Account Manager

cid:image001.jpg@01D622BD.AA6A39E0

25 1st Avenue NE, Suite 200 | Buffalo, MN 55313 | Tel: 763-682-0665 | Fax: 763-682-6543 sarah.nicholls@adarahomehealth.com

 

This email message contains communication from a HEALTH CARE PROVIDER, which is communication that is strictly CONFIDENTIAL and intended solely for the use of the addresses. Any non-addressee is prohibited from reading, disseminating, distributing, or even copying the communication contained here in. If you are in possession of this communication in error, please notify the sender by telephone immediately at (763)682-0665. Thank you.

 

From: Edel, Erin <Erin.Edel@SteeleCountyMN.gov>
Sent: Wednesday, January 29, 2025 2:19 PM
To: billers@list.mnhomecare.org
Subject: *External Email Message*Blue Plus MSHO

 

Hello,

 

Are people getting paid for their BP MSHO claims?  I received payment for a few dates of service. The rest were denied for missing/incomplete/invalid value code or amount.  Would someone please advise what this means or what our claim is missing?

 

It has taken over six months to even get these claims to process. 

 

Thanks in advance for your help!

 

Erin

 

Erin Edel

Steele County Public Health

Accountant

507-444-7652

Erin.Edel@SteeleCountyMN.gov

 

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